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2009
ioi9a *4Gly rol NO. Sn EET riA La 'FOR, PLUMBING ® �Y OF�CUPERTINO y •1 PR 5 1963 , sanitary No PERMIT 0 Date I 196_ Permit No_ Q O© �/ /fir (+ [p j�� �oo �tgiddl bt��Pln4 TIO4 Fee $ i ati is h to to City of Cupertino for permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, -,and agrees to install said prices and/or fixtures in accordance with the provisions of the Plumbing Code of the City of. . Cupertino, and all other laws ap 9icable there Use of Premises/ �� 0 .Ci '�-�.F, rea I UNITS I FEES If I .. IUNITSI�FEES :=10 Sewer +nn RECORD OF INSPECTION j